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Association of erosion with timing of detection and selected risk factors in primary dentition: a longitudinal study
Linda L Huang1, Shaneen Leishman, Bruce Newman
1Centre for Paediatric Dentistry, School of Dentistry, The University of Queensland, Brisbane, Qld, Australia.
Insights
Dental erosion prevalence increases with age in young children, with lesions appearing between 24 and 36 months. Bottle use at 36 months was linked to erosion detected by 48 months.
Area of Science:
- Pediatric Dentistry
- Dental Public Health
- Developmental Pediatrics
Background:
- Dental erosion is a growing concern in early childhood.
- Understanding the prevalence and risk factors is crucial for prevention.
Purpose of the Study:
- To determine the prevalence of dental erosion in a birth cohort at 24, 36, and 48 months.
- To identify risk factors associated with the development of dental erosion.
Main Methods:
- A birth cohort of 154 children was followed longitudinally.
- Dental examinations were conducted at 24, 36, and 48 months of age.
Main Results:
- Erosion prevalence was 0% at 24 months, 7% at 36 months, and 28% at 48 months.
- By 48 months, 33% of children and 8% of teeth showed signs of erosion.
- Erosion first detected at 48 months was associated with feeding bottle use at 36 months.
Conclusions:
- Dental erosion prevalence significantly increases from 24 to 48 months in children.
- Clinically detectable erosive lesions emerge between 24 and 36 months.
- Feeding bottle use is a potential risk factor for developing dental erosion by 48 months.
Objective:
The aims of this study were to determine the prevalence of erosion in a birth cohort at 24, 36, and 48 months and to investigate risk factors for erosion.
Methods:
One hundred and fifty-four children from a birth cohort were followed at 24, 36, and 48 months of age.
Results:
Of the 154 children examined, 0% (0/154), 7% (11/154), and 28% (40/154) had erosion detected for the first time at 24, 36, and 48 months, respectively (P < 0.001). A cumulative total of 51 (33%) children and 256 (8%) teeth had erosion by the age of 48 months. There were no significant associations between erosive lesions first detected at 36 months and oral hygiene behaviour, medical conditions, or dietary habits reported at the 24- or 36-month examinations (all P > 0.05). In contrast, erosive lesion first detected at 48 months was positively associated with the use of a feeding bottle reported at the 36-month examination (P = 0.026).
Conclusions:
The prevalence of dental erosion in young children increased with age, with clinically detectable lesions forming between 24 and 36 months of age. Erosive lesions first detected at 48 months were positively associated with the use of a feeding bottle reported at 36 months.
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